Provider Demographics
NPI:1649952045
Name:THORNHILL, SHERLEEN
Entity type:Individual
Prefix:
First Name:SHERLEEN
Middle Name:
Last Name:THORNHILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHERLEEN
Other - Middle Name:
Other - Last Name:THORNHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1834 VALCON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-1673
Mailing Address - Country:US
Mailing Address - Phone:614-597-1735
Mailing Address - Fax:
Practice Address - Street 1:1834 VALCON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1673
Practice Address - Country:US
Practice Address - Phone:614-597-1735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care